Six Cases of Sudden Cardiac Arrest in Alcoholic Ketoacidosis
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概要
- 論文の詳細を見る
We report herein 6 cases of sudden cardiac arrest in alcoholic ketoacidosis (AKA). All cases displayed evidence of prolonged excessive alcohol consumption and elevated β-hydroxybutyric acid levels and exhibited pulseless electrical activity (PEA) upon collapse. Severe metabolic acidosis was also seen in all cases. Some cases also displayed concomitant respiratory acidosis, hypothermia, hypoxia and/or hemorrhage. No evidence of myocardial infarction, tamponade or right heart strain, which would suggest pulmonary embolism, was found on cardiac ultrasonography. As PEA in AKA is induced by severe metabolic acidosis, aggressive correction of acidosis may represent a useful therapeutic strategy for such patients.
著者
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Sakamoto Toshihisa
Department Of Traumatology And Critical Care Medicine National Defense Medical College Saitama Japan
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Okada Yoshiaki
Department Of Bacterial And Blood Products National Institute Of Infectious Diseases
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OKADA YOSHIAKI
Department of Traumatology and Critical Care Medicine, National Defense Medical College
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Yanagawa Youichi
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan
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